Provider Demographics
NPI:1275835993
Name:AWESOME HOME CARE, INC.
Entity Type:Organization
Organization Name:AWESOME HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZAMORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-478-8550
Mailing Address - Street 1:7310 STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6711
Mailing Address - Country:US
Mailing Address - Phone:727-478-8550
Mailing Address - Fax:727-478-8551
Practice Address - Street 1:7310 STATE ROAD 52
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6711
Practice Address - Country:US
Practice Address - Phone:727-478-8550
Practice Address - Fax:727-478-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211485251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health